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Undergraduate – Premium Individual Program
Individual Coaching - Booking Form
~ You can fill this form in either Sinhala/ English - choose the language you are more comfortable with.
~ Choose Sinhala as the language to see translated questions.
~ ඔබට මෙම පෝරමය සිංහල/ ඉංග්රීසි යන භාෂා දෙකෙන්ම පිරවිය හැක - ඔබට වඩාත් පහසු භාෂාව තෝරන්න.
~ පරිවර්තිත ප්රශ්න ලබාගැනීමට සිංහල භාෂාව තෝරන්න.
Personal Information
Full name (first name & surname):
*
WhatsApp number:
*
Email:
Would you like your coaching calls to be recorded?
*
These recordings will be made available to you. They may be used for quality assurance purposes by the company. No private data will be shared with any third-parties.
Yes, please record my coaching calls
No, do not record my coaching calls
Mental Health Self-Assessment
Do you suffer from any mental health issues?
*
Yes
No
Are you currently facing any severe traumatic situations at home or your local environment?
*
Yes
No
Your Coach is NOT a qualified medical practitioner counsellor or therapist to treat mental health issues/ domestic abuse and/or trauma.
Coaching is a process which should be done when the client is in a mentally stable situation. It is NOT A SUBSTITUTE for situations which require medical professional's attention/ counselling/ therapy.
Kindly do not book the Coaching program if
- you're suffering from mental health issues/ abuse or trauma.
- if you require help/ treatment for such a condition
- Taking medication for treatment of such a condition
If such issues are identified during the course of the Coaching program the session will be terminated and a refund will be issued as per the Terms and Conditions of the Coaching Agreement.
Thank you for understanding.
Program Selection
Which program do you want to join?
*
Ordinary Level
Advanced Level
Undergraduate
Professional Exams
Ordinary Level Examination
Year of exam:
*
Exam shy:
*
1st
2nd
3rd
All subjects:
*
Medium:
*
Sinhala
English
Tamil
School:
*
Advanced Level Examination
Year of exam:
*
Exam shy:
*
1st
2nd
3rd
Stream:
*
Arts
Biology
Commerce
Maths
Technology
Medium:
*
Sinhala
English
Tamil
Subjects:
*
School:
*
Undergraduate Examinations
Degree:
*
Year & Semester:
*
University/ Institute name:
*
Faculty:
*
Subjects/ details of the semester:
*
Current GPA:
*
If not calculated/ unknown please type UNKNOWN
Start date of upcoming exams:
*
Professional Examinations
Exam:
*
Subjects/ details of the exam:
*
Institute name:
*
Start date of upcoming exams:
*
As is a qualified professional with years of coaching experience and verified credentials, a
Senior TeamOne Coach
will deliver you higher value at a premium investment.
Program Selection
Which program do you want to join?
*
Ordinary Level
Advanced Level
Undergraduate
Professional Exams
Ordinary Level Examination
Year of exam:
*
Exam shy:
*
1st
2nd
3rd
All subjects:
*
Medium:
*
Sinhala
English
Tamil
School:
*
Advanced Level Examination
Year of exam:
*
Exam shy:
*
1st
2nd
3rd
Stream:
*
Arts
Biology
Commerce
Maths
Technology
Medium:
*
Sinhala
English
Tamil
Subjects:
*
School:
*
Undergraduate Examinations
Degree:
*
Year & Semester:
*
University/ Institute name:
*
Faculty:
*
Subjects/ details of the semester:
*
Current GPA:
*
If not calculated/ unknown please type UNKNOWN
Start date of upcoming exams:
*
Professional Examinations
Exam:
*
Subjects/ details of the exam:
*
Institute name:
*
Start date of upcoming exams:
*
Identifying the Coaching Requirement
How hard do you work at the moment? (0 - Nothing | 10 - Maximum effort)
*
0
1
2
3
4
5
6
7
8
9
10
What are your biggest distractions/ time-wasters?
*
Issues you're facing at the moment:
*
Do you do any extracurricular work or sports?
*
What is the 1 THING that you enjoy doing the most? (It can be anything, no 'correct' answers here)
*
What are the 3 MOST IMPORTANT things to you in your life?
*
What's your BIGGEST FEAR in life?
*
What are your parents and family like? How do they help you?
*
How do you expect the Coach to help you?
*
Your Promise - AlphaStudent Code of Conduct
Are you ready to completely change the way you work, if need be, on the advices of the Coach?
*
Yes
Do you agree that despite the best advice and guidance from your Coach, you will NOT become successful if you do not put them into action by yourself?
*
Yes
Are you ready to take the full responsibility of your own success and the way you work during and after the coaching program?
*
Yes
What is the honest sacrifice you're willing to do in order to get the best results? (0 - Nothing | 10 - Maximum effort)
*
0
1
2
3
4
5
6
7
8
9
10
Scheduling
Coach - Coaching program duration
*
More Coaching = More Results!
Standard - 4 weeks
Plus - 6 weeks (GET 5% OFF THE TOTAL!)
Pro - 8 weeks (GET 7.5% OFF THE TOTAL!)
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Senior Coach - Coaching program duration
*
More Coaching = More Results!
Standard - 4 weeks
Plus - 6 weeks (GET 5% OFF THE TOTAL!)
Pro - 8 weeks (GET 7.5% OFF THE TOTAL!)
රු
0
Following are the latest available dates & times of this coach to reserve your session. Please select a convenient time for you:
*
The sooner you start your coaching program, the more advantageous it is for you!
Wednesday, 4:15 PM | January 5th, 2022
Wednesday, 5:30 PM | January 5th, 2022
Wednesday, 6:45 PM | January 5th, 2022
Total:
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SKU:
ICUG
Category:
Undergraduate
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